Saturday, November 16, 2013

President Obama: Big Government Can't Run Large Complex Systems Like Healthcare IT

The most telling and insightful portion of President Obama's long, rambling, quasi-apology on Thursday was his realization that large governmental bureaucracies don't work well and cannot manage an IT rollout like was required for PPACA.  Here are his words:
[H]ow we purchase technology in the federal government is cumbersome, complicated and outdated. And so this isn't a situation where -- on my campaign, I could simply say, who are the best folks out there, let's get them around a table, let's figure out what we're doing and we're just going to continue to improve it and refine it and work on our goals. 
If you're doing it at the federal government level, you know, you're going through, you know, 40 pages of specs and this and that and the other and there's all kinds of law involved. And it makes it more difficult -- it's part of the reason why chronically federal IT programs are overbudget, behind schedule. 
And one of the -- you know, when I do some Monday morning quarterbacking on myself, one of the things that I do recognize is since I know that the federal government has not been good at this stuff in the past, two years ago as we were thinking about this, you know, we might have done more to make sure that we were breaking the mold on how we were going to be setting this up. But that doesn't help us now....
Full transcript from The Washington Post.

Audio from the Armstrong and Getty Show on this topic:


Here is the excerpt from Mark Steyn that Armstrong and Getty read on the air in the same segment. The whole article is a must read:
... On Thursday, [President Obama] passed a new law at a press conference. George III never did that. But, having ordered America’s insurance companies to comply with Obamacare, the president announced that he is now ordering them not to comply with Obamacare. The legislative branch (as it’s still quaintly known) passed a law purporting to grandfather your existing health plan. The regulatory bureaucracy then interpreted the law so as to un-grandfather your health plan. So His Most Excellent Majesty has commanded that your health plan be de-un-grandfathered. That seems likely to work. The insurance industry had three years to prepare for the introduction of Obamacare. Now the King has given them six weeks to de-introduce Obamacare. 
“I wonder if he has the legal authority to do this,” mused former Vermont governor Howard Dean. But he’s obviously some kind of right-wing wacko. Later that day, anxious to help him out, Congress offered to “pass” a “law” allowing people to keep their health plans. The same president who had unilaterally commanded that people be allowed to keep their health plans indignantly threatened to veto any such law to that effect: It only counts if he does it — geddit? As his court eunuchs at the Associated Press obligingly put it: “Obama Will Allow Old Plans.” It’s Barry’s world; we just live in it. 
The reason for the benign Sovereign’s exercise of the Royal Prerogative is that millions of his subjects — or “folks,” as he prefers to call us, no fewer than 27 times during his press conference — have had their lives upended by Obamacare. Your traditional hard-core statist, surveying the mountain of human wreckage he has wrought, usually says, “Well, you can’t make an omelet without breaking a few eggs.” But Obama is the first to order that his omelet be unscrambled and the eggs put back in their original shells. Is this even doable? No. That’s the point. When it doesn’t work, he’ll be able to give another press conference blaming the insurance companies, or the state commissioners, or George W. Bush . . .

The most telling line, the one that encapsulates the gulf between the boundless fantasies of the faculty-lounge utopian and the messiness of reality, was this: “What we’re also discovering is that insurance is complicated to buy.” Gee, thanks for sharing, genius. Maybe you should have thought of that before you governmentalized one-sixth of the economy. ...
All Armstrong and Getty podcasts available here.